Peter C Agy
SANTIBANEZ AGUIRRE SLC PC


Address: 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049
Phone: 8019643100

Peter C Agy (NPI# 1417059023, PAC ID# 8729986005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1417059023
PAC ID by PECOS 8729986005
Professional Enrollment ID I20031223000522
Full Name Peter C Agy
Organization Legal Name SANTIBANEZ AGUIRRE SLC PC
Address 3460 S Pioneer Pkwy
Salt Lake City
UT 84120-2049
Phone Number 8019643100
Gender M
Credential MD
Medical School ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1980
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 0345582383
Number of Group Practice Members 22
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460003 SALT LAKE REGIONAL MEDICAL CENTER
460051 JORDAN VALLEY MEDICAL CENTER
460014 MOUNTAIN WEST MEDICAL CENTER

Other Locations

Address Phone Organization
3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049 8019643100 SANTIBANEZ AGUIRRE SLC PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 99%

Organization Information

Organization Legal Name SANTIBANEZ AGUIRRE SLC PC
Physicians 22

Physicians with the same organization

Name Specialty Organization Address
Ravinder S Ahluwalia Internal Medicine Santibanez Aguirre Slc PC 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049
Kenneth A Fischer Hospitalist Santibanez Aguirre Slc PC 3580 W 9000, West Jordan, UT 84088-8812
Marlan Len Hansen Internal Medicine Santibanez Aguirre Slc PC 3000 N Triumph Blvd, Lehi, UT 84043-4999
Jason E Crook Nurse Practitioner Santibanez Aguirre Slc PC 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049
Mark Del Castillo Internal Medicine Santibanez Aguirre Slc PC 3580 W 9000, West Jordan, UT 84088-8812
Alexander Luer Hospitalist Santibanez Aguirre Slc PC 3580 W 9000, West Jordan, UT 84088-8812
Layhong Soth Internal Medicine Santibanez Aguirre Slc PC 1050 E S Temple, Salt Lake City, UT 84102-1507
Heather L Campbell Nurse Practitioner Santibanez Aguirre Slc PC 3580 W 9000, West Jordan, UT 84088-8812
Michael Perez Internal Medicine Santibanez Aguirre Slc PC 3580 W 9000, West Jordan, UT 84088-8812
Shonti Breisch Physician Assistant Santibanez Aguirre Slc PC 3580 W 9000, West Jordan, UT 84088-8812

Office Location

Street Address 3460 S PIONEER PKWY
City SALT LAKE CITY
State UT
Zip 84120-2049

Physicians in the same location

Name Specialty Organization Address
Ravinder S Ahluwalia Internal Medicine Santibanez Aguirre Slc PC 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049
Jason E Crook Nurse Practitioner Santibanez Aguirre Slc PC 3460 S Pioneer Pkwy, Salt Lake City, UT 84120-2049
Rocky D Howell Nurse Practitioner Physician Group of Utah Inc 3460 S Pioneer Pkwy, Suite 304, West Valley City, UT 84120-2049
Gayle M Stewart Obstetrics/gynecology Physician Group of Utah Inc 3460 S Pioneer Pkwy, West Valley, UT 84120-2049
Merwin D Rasmussen Certified Registered Nurse Anesthetist 3460 S Pioneer Pkwy, West Valley, UT 84120-2049
Michelle M Sticka Clinical Social Worker Physician Group of Utah Inc 3460 S Pioneer Pkwy, Pioneer Valley Hospital A Campus of Jordan Valley Medi, West Valley City, UT 84120-2049
Samantha Savarino Nurse Practitioner Physician Group of Utah Inc 3460 S Pioneer Pkwy, West Valley City, UT 84120-2049

Physicians in the same zip code

Name Specialty Organization Address
Lawrence B Grandy Family Medicine After Hours Medical LLC 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301
Robert E Warrick Family Practice After Hours Medical LLC 3451 S 5600 W F, After Hours Medical West Valley Clinic, Salt Lake City, UT 84120-1301
Carlos A Vasquez Nurse Practitioner Physician Group of Utah Inc 3336 S Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2014
Jean S Hollis Physician Assistant Comprehensive Medical Management, PC 4052 W Pioneer Pkwy, 208 The Spine Orthopedic Pain Center, West Valley City, UT 84120-2064
Timothy S Grange Physical Medicine and Rehabilitation Comprehensive Medical Management, PC 4052 W Pioneer Pkwy, 208 The Spine Orthopedic Pain Center, West Valley City, UT 84120-2064
Zoe A Robbins Nurse Practitioner Physician Group of Utah Inc 4052 W Pioneer Pkwy, Suite 105, West Valley City, UT 84120-2064
Janet Crawford Nurse Practitioner Physician Group of Utah Inc 3336 S Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2067
Joseph Allen Francis Jr. Family Practice Physician Group of Utah Inc 3336 S Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2067
Robert W Engelen Sports Medicine Physician Group of Utah Inc 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072
Michael V Hoffman Orthopedic Surgery Physician Group of Utah Inc 3336 S Pioneer Pkwy, Suite 102, West Valley City, UT 84120-2072
Find all physicians in zip 84120

Competitor

Search similar physicians

City SALT LAKE CITY
Zip Code 84120
Specialty INTERNAL MEDICINE
City + Specialty SALT LAKE CITY + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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